Active NPI
Medicos Unidos de Avenal
- Family Medicine Physician
- Avenal, CA
National Provider Identifier
1013108752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MEDICOS UNIDOS DE AVENAL
- Practice address
- 148 E Kings St
Avenal, CA 93204-1529 - Phone
- (559) 386-9000
- NPI assigned
- Aug 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tomas Ballesteros Rios, M.D.
- Title
- Owner
- Phone
- (559) 386-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
148 E Kings St
Avenal, CA 93204-1529
Mailing address
PO Box 530
Lemoore, CA 93245-0530
Phone (559) 386-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RHM058905F | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Avenal, CA
- NPI 1720272263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186444800000",
"number": "1013108752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 530",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932450530",
"telephone_number": "559-386-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 E KINGS ST",
"city": "AVENAL",
"state": "CA",
"postal_code": "932041529",
"telephone_number": "559-386-9000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICOS UNIDOS DE AVENAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-07",
"last_updated": "2007-08-07",
"status": "A",
"authorized_official_last_name": "RIOS",
"authorized_official_first_name": "TOMAS",
"authorized_official_middle_name": "BALLESTEROS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "559-386-9000",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM058905F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avenal, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.